PETER BOULOS (M.D.) – Interventional Cardiology Physician, NPI 1013375724
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,994 INTERNAL MEDICINE in CO
Provider Addresses for PETER BOULOS (M.D.)
1731, East 21st Avenue, City Park West, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802055435
Phone:
Type: Mailing
500 ELDORADO BLVD STE 4300
BROOMFIELD, CO 800213564
Phone:
Type: Mailing
1610 Prairie Center Pkwy Ste 2330
Brighton, CO 806014003
Phone: (303) 272-0500
Fax: (303) 654-9895
Type: Location
200 EXEMPLA CIR STE 310
LAFAYETTE, CO 800263370
Phone: (303) 689-6420
Type: Location
University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States
AURORA, CO 800452545
Phone: (303) 724-5524
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $4,764.
Total Amount is formed as General ($4,764) + Research ($0) + Ownership ($0) = $4,764.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,570).
Total Amount
$4,764
General + Research + Ownership
Payments
60
Total payment records
General Amount
$4,764
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $1,570 |
| Medtronic, Inc. | $1,549 |
| Abbott Laboratories | $1,022 |
| Boston Scientific Corporation | $425 |
| Chiesi USA, Inc. | $72 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220211000156 | I | Internal Medicine | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CA | |
| - | CO | |
| Physician Assistant | CO | |
| Hospitalist, Family Practice | CO | |
| - | CO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| - | CO |
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